Remote Field Reimbursement Manager — Access & Payer Strategy

Valeris; Illinois; Remote; USD 90,000 - 135,000; Full time

Job summary

Valeris is seeking a Field Reimbursement Manager to help remove barriers to patient access and to educate provider offices on billing and coding for client therapies. You will serve as the reimbursement expert across relevant sites of care and collaborate with HUB teams, payers, and field staff.

The role requires 3+ years in Pharma/Healthcare with knowledge of payer policies, prior authorizations, and reimbursement processes. Travel up to 10% and remote work options within Illinois are expected.

Qualifications

• Associate's degree or higher in a related field or equivalent market experience.
• 3+ years in Pharma/Healthcare industry; working with specialty products, hubs, payers, HCP or related area.
• Direct experience with specialty dermatology products.
• Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices.
• Knowledge of commercial payer, Medicare and Medicaid structure, systems, and reimbursement process.
• Strong stakeholder engagement and communication skills.

Responsibilities

• Solve patient access issues by coordinating with HUB, provider offices, and client field teams.
• Educate HCPs and office staff on patient support programs and coding.
• Lead onsite education for payer coverage and reimbursement rules.
• Guide providers through prior authorization and appeals with required documentation.
• Coordinate daily activities to ensure patient access across sites of care.
• Educate staff on client patient assistance and reimbursement tools.
• Monitor payer trends and communicate reimbursement concerns to stakeholders.
• Travel up to 10% as needed.

Skills

Stakeholder engagement

Communication skills

Reimbursement knowledge

Prior Authorizations

Billing and coding

Education

Associate's degree or higher in related field

Job description

Valeris is seeking a Field Reimbursement Manager to help remove barriers to patient access and to educate provider offices on billing and coding for client therapies. You will serve as the reimbursement expert across relevant sites of care and collaborate with HUB teams, payers, and field staff.

The role requires 3+ years in Pharma/Healthcare with knowledge of payer policies, prior authorizations, and reimbursement processes. Travel up to 10% and remote work options within Illinois are expected.